# NINA J LEE TALL MD INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215020292
- **Authorized official:** NINA J LEE-TALL MD (PRESIDENT)
- **Authorized official phone:** (310) 375-2102

## Contact information

- **Practice address:** 1200 S PACIFIC COAST HWY STE C, REDONDO BEACH, CA 90277-4987
- **Practice address phone:** (310) 375-2102
- **Practice address fax:** (310) 791-6319
- **Mailing address:** 1200 S PACIFIC COAST HWY STE C, REDONDO BEACH, CA 90277-4987
- **Mailing address phone:** (310) 375-2102
- **Mailing address fax:** (310) 791-6319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | A61349 | CA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 04/04/2025